| NPI | 1861968240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180014137) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014231) |
| 101YP2500X Counselor, Professional (Licence: IL 180.014137) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-02-17 |